Organization
CHARLOTTE PEDIATRIC CLINIC
Active
Parent organization
CHARLOTTE PEDIATRIC CLINIC
Other names
Atrium Health Levine Children's Charlotte Pediatrics, Charlotte Pediatric Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLOTTE PEDIATRIC CLINIC
Authorized official
SCOTT RISSMILLER (ENTERPRISE EVP)
(704) 355-8675
Entity
Organization
Contact information
Practice address
6235 BLAKENEY PARK DR, STE 100, CHARLOTTE, NC 28277-5658
(704) 512-5060
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/22/2009
Last updated
03/09/2023
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